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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAELA GRACE THANH BLAKE, PA

Active

MICHAELA GRACE THANH BLAKE, PA is a Physician Assistant healthcare provider located in KLAMATH FALLS, Oregon. NPI 1790528768 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KLAMATH FALLS, OR

Registration Details

NPI Number
1790528768
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2024 (2.1293542058381 yrs)
Last Updated
Sep 29, 2025

Practice Information

Address
3000 BRYANT WILLIAMS DR STE 102
KLAMATH FALLS, OR, 976011139
Browse OR providers · Browse ZIP 97601
Phone
5412748980
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in KLAMATH FALLS, OR

Name Credential NPI
MRS. CATHERINE EVELYN NOBLE PA-C 1164418083
ROGER R CUMMINS PA-C 1871581520
MR. JONATHAN JOSEPH NEAL CPA 1457325375
ANTHONY M HAMILTON PA 1821046962
MR. AARON TESMAN PA 1942255302
MR. ARDEN JAY GAGE JR. P.A. 1699987164
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.